Human hydatid disease is a zoonosis caused by the larval stage of the Echinococcus species. It is endemic in sheep and cattle raising region such as Morocco. The liver is the most frequently affected organ in echinococcosis (first filter). Cyst rupture into the biliary tree is the most common complication of hepatic hydatid cyst, seen in 5% to 15% of cases. However, fistulization between gallbladder and hydatid cystis rare. The number of cases in the literature is below 10 [1].
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